文章摘要
张守字.血管性认知障碍的诊断与治疗[J].中国临床保健杂志,2020,23(2):161-164.
血管性认知障碍的诊断与治疗
Diagnosis and treatment of vascular cognitive impairment
投稿时间:2019-09-22  
DOI:10.3969/J.issn.1672-6790.2020.02.005
中文关键词: 痴呆,血管性  诊断技术,神经病学  药物疗法  综述
英文关键词: Dementia,vascular  Diagnostic Techniques,Neurological  Drug therapy  Review 〖FL
基金项目:
作者单位
张守字 北京老年医院精神心理一科,北京 100095 
摘要点击次数: 287
全文下载次数: 336
中文摘要:
      血管性认知障碍(VCI)是继阿尔茨海默病(AD)之后第2个常见的痴呆病因。临床发病可以是急性起病,有明确的卒中病史;也可以是渐进或隐袭起病,通常没有明显的卒中病史,经历轻度认知损害(MCI)逐渐发展为痴呆,临床主要依据患者发病特征和认知功能下降表现,结合影像学特征进行诊断。循证医学证据证明,胆碱酯酶抑制剂及兴奋性氨基酸(NMDA)受体拮抗剂对血管性认知障碍治疗有一定疗效。
英文摘要:
      Cognitive impairment of vascular (VCI) is one of the most common cause of clinically diagnosed dementia,which is the second after Alzheimer′s disease.The processing of VCI may be acute with a clear history of stroke.The processing of VCI may be gradual or insidious without a clear history of stroke,gradually developing into dementia from mild cognitive impairment (MCI).Clinical diagnosis would mainly base on the patient′s characteristics and cognitive decline performance combined with brain imaging.Evidence-based medical evidence shows that cholinesterase inhibitors and NMDA receptor antagonists have certain therapeutic effects on vascular cognitive impairment.
查看全文     
关闭
分享按钮